| NPI | 1982117271 |
|---|---|
| Doing Business As | TRIAD OWEN SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | JESSICA WHEELER General Manager 859-567-1591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-03-17 |